Provider Demographics
NPI:1922877984
Name:THOMAS-CARTER, GOVINDA
Entity Type:Individual
Prefix:
First Name:GOVINDA
Middle Name:
Last Name:THOMAS-CARTER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2208 CORMORANT DR
Mailing Address - Street 2:
Mailing Address - City:FAIRFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:94533-2541
Mailing Address - Country:US
Mailing Address - Phone:916-410-8797
Mailing Address - Fax:
Practice Address - Street 1:2208 CORMORANT DR
Practice Address - Street 2:
Practice Address - City:FAIRFIELD
Practice Address - State:CA
Practice Address - Zip Code:94533-2541
Practice Address - Country:US
Practice Address - Phone:916-410-8797
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-01
Last Update Date:2024-01-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other